Martin Joseph Waltsak, PA-C is a medicare enrolled "Physician Assistant" physician in Garden Grove, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence Medical Foundation and his current practice location is
12942 Harbor Blvd, Garden Grove, California. You can reach out to his office (for appointments etc.) via phone at
(714) 705-2120.
Martin Joseph Waltsak is licensed to practice in California (license number PA14773) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669409652.
Physician's Profile
| Full Name | Martin Joseph Waltsak |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 12942 Harbor Blvd, Garden Grove, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Martin Joseph Waltsak graduated from medical school in 1998
NPI Data:
- NPI Number: 1669409652
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688671803
- Enrollment ID: I20061101000329
Medical Identifiers
Medical identifiers for Martin Joseph Waltsak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669409652 | NPI | - | NPPES |
| P01272666/DU4032 | Other | CA | RAILROAD MEDICARE |
| PA14773 - WILMINGTON | Medicaid | CA | |
| PA14773 | Other | CA | MEDI CAL |
| PA14773 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA14773 (California) | Secondary |
| 363A00000X | Physician Assistant | PA14773 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Medical Foundation | 8921993205 | 1312 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martin Joseph Waltsak is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Martin Joseph Waltsak, PA-C
12942 Harbor Blvd,
Garden Grove, CA 92840-5809
Ph: (714) 705-2120 | Martin Joseph Waltsak, PA-C
12942 Harbor Blvd,
Garden Grove, CA 92840
Ph: (714) 705-2120 |
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